DR. Charles T Fries, EDD

NPI #1003970625 in Tyler, Texas

Provider Information

NPI Number: 1003970625
Entity Type: Individual
Name: DR. Charles T Fries, EDD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: EDD
Enumeration Date: Dec 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3800 PALUXY DR
Address 2: SUITE 440
City: Tyler
State: Texas
ZIP Code: 75703
Phone: (903) 526-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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